(Solution) NR509 Week 5: Alternative Writing Assignment for Week 4


The Alternative Writing Assignment mirrors the discussion content of Debriefing and will allow the student to expand their knowledge of physical health assessment principles specific to the advanced practice role. 

Activity Learning Outcomes 

Through this assignment, the student will demonstrate the ability to:

  1. Identify and articulate advanced assessment health history and physical examination techniques which are relevant to a focused body system (CO 1)
  2. Differentiate normal and abnormal findings with regard to a disease or condition that impacts the body system (CO 2)
  3.  Adapt advanced assessment skills if necessary to suit the needs of specific patient populations (CO 4)

Due Date 

The alternative writing assignment is due no later than the Sunday 11:59 PM MT of the week in which the student did not attend the weekly debriefing session. For example, if you did not attend a debriefing session for Week 3, the written assignment is due the Sunday at the end of Week 4. 

Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. 

Total Points Possible:  30 Points 


NOTE: Complete the NR 509 Alternative Writing Assignment ONLY if you did not attend or do not plan to attend Debriefing for the given week. 

  1. This paper will be appraised on the quality of the information, inclusion of at least one evidence-based scholarly source, use of citations, use of Standard English grammar, and organization based on the required components (see the paper headings and content details below).
  2. Scholarly sources: Only scholarly sources are acceptable for citation and reference in this course. These include peer reviewed publications, government reports, or sources written by a professional or scholar in the field. Your textbook and lesson are not considered to be an outside scholarly source. For the discussions and reflection posts, reputable internet sources such as websites by government agencies (URL ends in .gov) and respected organizations (often ends in .org) can be counted as scholarly sources. The best outside scholarly source to use is a peer-reviewed nursing journal. You are encouraged to use the Chamberlain library and search one of the available data bases for a peer-reviewed journal article. The following sources should not be used: Wikipedia, Wikis, or blogs. These web sites are not considered scholarly as anyone can add to these. Please be aware that .com websites can vary in scholarship and quality. For example, the American Heart Association is a .com site with scholarship and quality. It is the responsibility of the student to determine the scholarship and quality of any .com site. Ask your instructor before using any site if you are unsure. Points will be deducted from the rubric if the site does not demonstrate scholarship or quality. Current outside scholarly sources must be published with the last 5 years. Instructor permission must be obtained BEFORE the assignment is due if using a source that is older than 5 years.
  3. The length of the paper is to be no less than 1,500 words, excluding title page and reference list.
  4. Create this assignment using Microsoft (MS) Word. You can tell that the document is saved as a MS Word document because it will end in “.docx.”
  5. APA format (current edition) is required in this assignment, explicitly for in-text citations and the reference list. Use 12-point Times New Roman font with 1 inch margins and double spacing. See the APA manual for details regarding proper citation.
  6. Organize the headings and content of your paper using the outline below:
    • Select a body system relevant to the lesson from the previous week for the topic of this paper. For example, if you are writing this assignment for Week 2, then select the HEENT, Respiratory, or Integumentary system as the focus for the paper (not all three systems). NOTE: If you are writing this assignment for Week 1, select the Health History as the topic of the paper.
    • Discuss the physiology (structure and function) of the body system including details about the major organ systems (if applicable). NOTE: If you are writing the assignment for Week 1, provide an overview of interviewing techniques.
    • Construct relevant health history questions (subjective data) pertaining to the body system. NOTE: If writing the assignment for Week 1, construct relevant health history questions for all body systems as included on the review of systems (ROS).
    • Provide an overview of the objective data and expected normal physical examination findings for this body system. NOTE: If writing this assignment for Week 1, provide the expected normal subjective findings for each body systems on the ROS.
    • Explain special physical assessment examination techniques or procedures specific to assessing this body system. NOTE: If writing the assignment for Week 1, explain advanced interview techniques.
    • Analyze and discuss how you might adapt your physical assessment skills or interviewing techniques to accommodate each of the following specific populations:
      • Infant/pediatric
      • Pregnancy
      • Geriatric
    • Identify one major disease or disease process that may significantly impact this body system. NOTE: If writing the assignment for Week 1, identify one disease process or condition that may significantly hinder conducting a Health History interview.
    • Synthesis and discuss the expected abnormal physical examination findings that may be associated with this disease or disease process.
    • Summarize the key points.
    • References in correct APA format


Cardiovascular System

Every cell in the body receives the nutrients and oxygen it needs via the cardiovascular system (CVS). This essay offers an in-depth discussion of the body’s structure and function, questions pertinent to someone’s overall health, objective data, details on a physical evaluation, how an individual reacts to the evaluation, a cardiovascular disease, expected findings and the summary.


            The cardiovascular system includes the heart, blood arteries, and blood. Your body requires the nutrition and oxygen that blood provides to survive. Nutrients are absorbed from the blood into the body (Pappano, 2018). Simultaneously, the body removes carbon dioxide and other waste products by allowing these substances to be transported out of the body in the blood. The cardiovascular system’s primary role is to sustain circulation to all body areas so that the body may live. For an in-depth look at the CVS, you must learn about the anatomy and physiology of the heart and how it functions. The heart is placed on the left side of the chest, between the lungs. This muscle is about 12cm in length, 9cm in length, and 6cm in width (thickness). The pericardium is a fibrous layer that envelops the heart, keeping it in place and moving during contractions. The cardiac muscle is part of the heart’s wall. Used blood from the body returns to the heart via veins. This indicates that oxygen is low in the body (since the body has extracted it) and carbon dioxide is high (as the body has unloaded it back into the blood). The superior and inferior vena cava joins to the right atrium, where all the veins and arteries converge. Blood is pumped into the right ventricle via the right atrium. Next, the right ventricle pumps blood through the pulmonary arteries to the lungs, after which it is distributed to all the different parts of the lungs. In the lungs, the blood collects oxygen and expels carbon dioxide. The blood gets loaded with oxygen, making it easier for the body to use. Left atrium: It receives blood from the lungs, pumps it into the left ventricle, and sends it out to the rest of the body. After this oxygen-rich blood is pumped out of the left ventricle, it flows via other arteries to supply oxygen to the rest of the body. Understandably, carotid arteries, coronary arteries, hepatic artery, mesenteric artery, renal arteries, and femoral arteries are the primary arteries that branch from the aorta and distribute blood to particular areas of the body. For the body to carry out its usual tasks, the oxygen in the blood can be used. As the blood makes its way through the system, it is pumped by the heart and re-enters the body through the veins—the cycle repeats (Peate, 2018).

Relevant Health History Questions (Subjective Data)

Conducting a complete and thorough clinical assessment is vital to determine the…..Please click the icon below to purchase full answer at only $15